28 Questions
Where does the abdominal pain localize depend on?
The embryologic origin of the organ
Which condition accounts for 28% of cases of acute abdominal pain?
Acute appendicitis
What organ region does hindgut pain typically localize to?
Hypogastric region
What type of pain is localized to the dermatome above the site of the stimulus?
Parietal pain
What is the percentage of cases accounted for by Non-Specific Acute Abdominal Pain?
34%
Which condition accounts for 3% of cases of acute abdominal pain?
Perforated peptic ulcer
What is indicated by Cullen's sign?
Retroperitoneal haemorrhage
Which sign is characterized by severe left shoulder pain?
Kehr's sign
Which sign involves hyperextension of the right hip causing abdominal pain?
Iliopsoas sign
What condition is associated with Grey-Turner's sign?
Retroperitoneal hemorrhage
What condition presents with local Right Iliac Fossa tenderness?
Acute appendicitis
Which medical condition is characterized by an abrupt interruption of inspiration on palpation of the right upper quadrant?
Acute cholecystitis
What would be the best initial management for a 35-year-old male with acute abdominal pain, distension, and vomiting, along with tachycardia and abdominal rigidity?
IV fluids → X-ray abdomen
What is the best initial investigation for a 40-year-old female presenting with severe pain in RUQ with radiation to the back and vomiting, along with mild tenderness in RUQ?
USG examination
In a 65-year-old male with thinning of urinary stream, intermittency, lower abdominal pain, and suprapubic distension, what is likely to be found on per rectal examination?
BPH
Following right hemicolectomy for a cecal mass, a patient develops abdominal distension, bilious vomiting, and multiple air fluid levels on X-ray abdomen on postoperative day 7. What is the most probable cause?
Paralytic ileus
Which condition is characterized by rigidity in the abdomen, indicating tense and board-like abdominal muscles?
Peritonitis
Which of the following investigations would NOT be useful in assessing a patient post right hemicolectomy with symptoms of abdominal distension and bilious vomiting?
Colonoscopy
What is the likely cause of suprapubic pain associated with acute urinary retention?
PID (Pelvic Inflammatory Disease)
Which condition is typically associated with epigastric pain and a history of previous episodes of Acute Pancreatitis?
Duodenal/gastric ulcer
What symptom may be present in patients with Mesenteric Adenitis that can help differentiate it from Acute Appendicitis?
Genitourinary symptoms
In a thin or malnourished patient with visible peristalsis during palpation, which condition should be considered?
Small Bowel Obstruction
Which condition can potentially cause urinary symptoms such as ureteric colic and UTIs?
Meckel’s diverticulum
In a 45-year-old male experiencing acute pain in the epigastrium radiating to the back after an alcohol binge and severe vomiting, which statement is true regarding serum lipase and serum amylase?
Serum lipase is more helpful than serum amylase in making a correct diagnosis after 5 days.
In acute cholecystitis, pain in the right shoulder is classified as:
Referred pain
Regarding duodenal ulcer perforation, which statement is accurate about erect chest X-ray and detecting air under the diaphragm?
Erect X-ray chest is not helpful in detecting air under the diaphragm.
Which of the following statements about pain characteristics in acute cholecystitis and acute pancreatitis is accurate?
Pain in acute cholecystitis typically radiates to the back.
Based on the X-ray abdomen provided, what condition is most likely indicated?
Acute small intestinal obstruction
Test your knowledge on important systemic examination signs including Cullen's sign, Kehr's sign, McBurney's sign, and Murphy's sign. Identify the clinical findings associated with conditions like retroperitoneal hemorrhage, splenic rupture, ectopic pregnancy rupture, and acute cholecystitis.
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